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What to Expect with Mohs Micrographic Surgery

Mohs micrographic surgery (MMS) is an advanced surgical method used to remove skin cancers.Ìý MMS is a very effective technique because it is based upon using a microscope to trace skin cancer cells so that the cancer can be completely removed while simultaneously preserving healthy tissue.Ìý It is usually performed on an outpatient basis, in one day, under local anesthesia.Ìý MMS is an excellent option to achieve a cure with a minimal scar.Ìý Here is what you can expect:

Step 1: The extent of a skin cancer is often more than what can be seen on the skin's surface.Ìý If all of the skin cancer cells are not removed, the cancer may grow back.

Step 2: After the cancer is examined and marked, anesthesia (local numbing medication) is injected to numb the surgical site.Ìý The visible part of the cancer is then removed by the surgeon.

Step 3: A layer of the skin and tissue beneath the surface cancer are removed.Ìý This tissue is marked and processed in real time in the Mohs laboratory.

Step 4: While you wait, the removed skin and tissue layer will be processed into slides and examined under a microscope by your Mohs surgeon to see if there are any remaining cancer cells.

Step 5: If cancer cells are found, the Mohs surgeon marks their location and removed this additional tissue for test, repeating steps 2-4 as needed.

Step 6: The cycle repeats until no cancer cells are found.Ìý Depending on how much skin and tissue are removed and the size of your wound, your doctor will discuss various reconstruction options and perform the repair that will provide you with the best appearance and function for that area.